The CIIP (Certified Imaging Informatics Professional) credential from ABII (American Board of Imaging Informatics) certifies professionals working at the intersection of radiology, information technology, and data management. The exam tests knowledge of PACS architecture, the DICOM standard, HL7 and interoperability, radiology workflow and RIS operations, imaging informatics governance, quality and performance metrics, and the growing role of AI and clinical informatics in imaging. Practice with the free CIIP - Certified Imaging Informatics Professional practice test on PracticeTestGeeks (11 questions with answer explanations).
Our free printable PDF packages realistic exam-style questions from all CIIP domains into a format you can study anywhere — on paper, on a tablet, or printed for a study group. Download it once and use it repeatedly to identify gaps before your ABII certification exam.
Interactive CIIP - Certified Imaging Informatics Professional resources on PracticeTestGeeks, free to start:
Facts verified Oct 21, 2026 against American Board of Imaging Informatics. Dates that have passed are removed automatically.
| Item | Detail | Official source |
|---|---|---|
| Number of questions | 170 questions, 10 knowledge domains | American Board of Imaging Informatics |
| Time limit | 170 minutes (plus 20 min tutorial/NDA/survey) | American Board of Imaging Informatics |
| Passing score | Scaled score of 75 (scale 1–99) | American Board of Imaging Informatics |
| Exam fee | $500 test registration fee | American Board of Imaging Informatics |
| Retake fee | $250 per retake | American Board of Imaging Informatics |
| Retake policy | 3 attempts within 12 months of eligibility | American Board of Imaging Informatics |
| Validity | Ten-year requirements every 10 years (Practice, Education, Research or Examination) | American Board of Imaging Informatics |
| Renewal | $70 annual renewal by Dec 31; 24 CE credits every 2 years | American Board of Imaging Informatics |
| Delivery | Pearson VUE test center or online proctored (OnVUE) | American Board of Imaging Informatics |
| Eligibility | Seven-Point Qualification System (experience, education, credentials/CE) | American Board of Imaging Informatics |
| Score release | Preliminary score at test end; official in 7–10 days (up to 30) | American Board of Imaging Informatics |
| Late registration deadline | $20 late fee Jan 1–Mar 31; discontinued after Mar 31 | American Board of Imaging Informatics |
| Testing window | 12-month window from eligibility; no fixed exam dates | American Board of Imaging Informatics |
Facts verified Oct 21, 2026 against American Board of Imaging Informatics. Dates that have passed are removed automatically.
PACS architecture questions cover the four core components: acquisition gateways, the image manager and archive, diagnostic workstations, and web distribution systems. The exam also tests VNA (Vendor Neutral Archive) concepts, PACS migration strategies including DICOM header reconciliation, image-sharing platforms such as XDS (Cross-Enterprise Document Sharing) and DirectQuery, CD import workflows, and zero-footprint web viewers. Project management for PACS implementation is included as well.
DICOM is one of the most heavily tested areas. Questions cover the DICOM object hierarchy — SOP Class, SOP Instance, and the study/series/instance model — and DICOM tag groups: Patient (0010), Study (0020), Series (0008), and Image (0028). DICOM services are thoroughly tested: C-STORE (send), C-FIND (query), C-MOVE (retrieve), C-GET, and WADO (web-based retrieval). Networking concepts include AE Titles, SCU/SCP roles, and the default DICOM port (104). Additional topics include DICOM Modality Worklist (MWL), Structured Reporting (SR), RT objects for radiation therapy, Presentation State (PS), transfer syntaxes (JPEG, JPEG 2000, JPEG-LS, uncompressed), and DICOM de-identification for research use.
HL7 v2 message structure questions focus on key segments: MSH (message header), PID (patient identification), OBR (observation request), and OBX (observation result). ADT (Admit/Discharge/Transfer) and ORU (Observation Result) message types are regularly tested. HL7 FHIR questions cover its RESTful API approach and core resources including Patient, DiagnosticReport, and ImagingStudy. IHE Integration Profiles tested include RAD-1 (Scheduled Workflow), RAD-2 (Patient Information Reconciliation), RAD-10 (Key Image Notes), and RAD-69 (XDS-I.b). Interface engine concepts — HL7 routing and message transformation — also appear.
RIS workflow questions cover exam states from ordered through scheduled, in-progress, complete, reported, and verified, plus charge capture with CPT coding and critical result notification workflows. Governance topics include HIPAA technical safeguards applied to imaging systems, PHI in DICOM headers, audit logging, access controls, and disaster recovery and business continuity planning for imaging systems. Quality and performance metric questions focus on system uptime, PACS response time, image availability, dose monitoring via RDSR (Radiation Dose Structured Report), ACR Dose Index Registry integration, and display system QC using AAPM TG270/TG18 procedures.
After working through the PDF, continue your preparation with our interactive question bank. Our CIIP practice test provides instant feedback and detailed explanations so you understand the reasoning behind each correct answer — the same depth of understanding the ABII exam demands. Full-length timed practice helps build the stamina and accuracy you need on exam day.
| Pros | Cons |
|---|---|
| Validates your knowledge and skills objectively | Study materials can be expensive |
| Increases job market competitiveness | Exam anxiety can affect performance |
| Provides structured learning goals | Requires dedicated preparation time |
| Networking opportunities with other certified professionals | Retake fees apply if you don't pass |
Try these questions from our free CIIP - Certified Imaging Informatics Professional practice tests. The correct answer and an explanation follow each question.
An imaging informatics professional is configuring the storage rules for a new enterprise imaging system. For which of the following use cases would the application of lossy compression be considered clinically acceptable?
Answer: B. Long-term archival of non-diagnostic quality assurance (QA) images.
Lossy compression permanently discards some image data to achieve a smaller file size. This is unacceptable for primary diagnosis (especially in high-detail modalities like mammography), legal records, or critical emergency consultations where subtle findings could be lost. However, for images that are not used for clinical diagnosis, such as QA test patterns or phantom images, lossy compression is often acceptable to save storage space.
During a PACS upgrade, an imaging informatics professional is analyzing the existing workflow. They notice that radiologists frequently have to log in to a separate system to view a patient's clinical notes and lab results before finalizing their report. This process is identified as a major inefficiency. Integrating which system with the PACS would best streamline this part of the workflow?
Answer: C. Electronic Health Record (EHR)
Integrating the Electronic Health Record (EHR) with the PACS provides the radiologist with seamless access to the patient's complete medical history, including clinical notes and lab results, directly within their reading environment. This eliminates the need to switch between systems, thereby improving efficiency and providing crucial clinical context for a more accurate diagnosis.
An imaging director asks the informatics manager to develop an evidence-based image retention policy. When determining the minimum time that adult diagnostic images must be legally retained, which of the following is the MOST authoritative source?
Answer: D. Federal regulations and applicable state laws.
Image retention requirements are governed by law. Federal regulations (like the Mammography Quality Standards Act - MQSA) and, most commonly, specific state laws dictate the minimum retention periods for medical records, including images. These legal mandates supersede any internal policies, vendor recommendations, or personal preferences and must be the primary basis for any retention policy.
Which project management tool is best suited for breaking down the total scope of a large imaging informatics project into smaller, more manageable components, organized in a hierarchical structure?
Answer: C. Work Breakdown Structure (WBS)
A Work Breakdown Structure (WBS) is a deliverable-oriented hierarchical decomposition of the work to be executed by the project team. It is used to organize and define the total scope of the project by breaking it down into manageable parts.
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